Please
select the courses you would like to enroll in from the menus below.
If you require any additional courses not listed, please fill in the
course name in the "other courses" field. To prevent errors
in transmitting information to us, please avoid using these characters
(<
, > , ! , ; ,# , | , & , \ and *).
|
| Course
1 |
|
|
|
| Course
2 |
|
|
| Course
3 |
|
|
| Course
4 |
|
|
| Course
5 |
|
|
| Other
Courses |
|
|
| Preferred
Start Date: |
Month
Day
Year
|
| (GST
will be added to all course fees) |
Client Information: |
|
| Title:
|
| Student(s)
First Name:
Middle Initial:
Last Name:
|
| Email: |
|
|
| Company: |
|
|
| Address: |
|
|
| City: |
|
Province:
|
| Postal
Code: |
|
|
| Phone: |
|
|
| Fax: |
|
|
Billing Information: |
|
| Name: |
|
|
| Address: |
|
PO #
|
| City: |
|
|
| Province: |
|
|
| Postal
Code: |
|
|
| Email: |
|
|
| Invoice
to: |
|
|
| How did
you find our site?
|
|
|
|
|
|
|
IMPORTANT
Your enrolment for
each course(s) selected, will be confirmed to you within 48 - 72 hours.
Course seating is limited and will be allocated on a "first come,
first served" basis.
If you do not receive immediate notification, via email, that your registration
has been received, please contact our office to confirm receipt of your
registration.
Toll
Free: 1-800-318-2152
Email: cansafe@cansafesafety.com
|
